So my insurance currently covers a lifetime benefit of like $20k or something for these meds. I used to be on Saxenda, but I couldn't get it filled and the weight came right back.
However, I actually started gaining weight before I stopped taking it - because some big stressors re triggered my poor eating habits. Had that not occurred, and I was able to continue to lose weight and not sought out my poor habits before, I think it would have been significantly easier to keep the weight off.
That being said, I think insurance companies are trying to delay as much as they can for these drugs to go generic. They currently just cost way too fucking much for something that can benefit most Americans because of shit eating habits.
On another note: my sleep apnea didn't go away as I lost weight. I was very disappointed.